基层医院颅脑损伤急救模式的探讨  

Exploration on the mode of emergency medical treatment of craniocerebral injury in primary hospital

作　　者：罗兴武 罗成义[2] 王智勇 朱颂国 艾昌淼 罗福如 黄韶光 

机构地区：[1]广东佛冈县人民医院外三科,佛冈511600 [2]南方医科大学附属珠江医院,广州510282

出　　处：《中国实用神经疾病杂志》2012年第14期25-27,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨设计基层医院颅脑损伤的急救模式。方法本院以ICU为依托,神经外科负责,多科协助对颅脑损伤病人由专科医生分类按相应程序进行急救。结果本组病例共1 263例,轻型382例,中型443例均治愈、重型及特重型438例,按格拉斯哥预后评分(GOS)评定:恢复良好或中残308例,重残45例,植物生存14例,死亡71例。结论急诊科院前急救,重型颅脑损伤直接送入ICU,专科医生按急救程序处理,手术由神经外科医生负责,术后送ICU监护有助于重型颅脑损伤的救治。Objective To investigate the mode of emergency medical treatment of craniocerebral injury in primary hospital. Methods The neurosurgery, assisted by the basis of ICU and multidisciplinary specialist, is responsible for first aide of patients with craniocerebral injury according to the corresponding procedures in our hospital. Results Total 1263 patients： 382 slight and 443 medium type patients were treated, 438 heavy and special heavy type patients were treated partly. According to the scores of Glasgow outcome scale（GOS）, 308 patients enjoyed good results or moderate disability, 45 cases had severe disability, 14 cases were under vegetative state, and 71 case died. Conclusion After first aid of pre-hospital by emergency department, patients with severe craniocerebral injury were admittecl directly into ICU, treated by specialist according to the corre-sponding procedures, underwent operation by neurosurgeon, postoperatively sending to ICU and monitoring were contribute to the treatment of severe craniocerebral injury.

关 键 词：基层医院 颅脑损伤 急救模式 

分 类 号：R651.15[医药卫生—外科学]